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HomeMy WebLinkAbout25-80067 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG55427oc� RA COLLISION REPORT 1591971 INTERSTATE CITY STREET FIRE I CASE# 25-80067 2 RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LdCAI-A`NG 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF N E IN cDLLISION' 11 - 22 - 2025 1418 17 =.= S 8 W e OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S 2ND ST BLOCK NO. e 200 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 25 00 FEET e✓ S 8 W e LAKE AVE S 2 0 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:2533586585 0 1 30 5❑ LAST NAME OSTERAA FIRST NAME TORT MIDDLE K 1 2 31 INITIAL STREET ❑ 320 N J ST CITY; TACOMA ST I WA ZIP; 98403 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO INTERLOCKYEs NO YES NOFJ 8❑ DRIVER # STATE WA SEXI F MMDDYY' 08 — 07 — 1993 1 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 3 EJECT 1 N USEET INJUR CLASSY 14 1 NATURE of INJURIES 2 LICENSE, CJS1980 STATE WA VIN# ZACCJBBBOJPH46965 3 10 Fq I as ATP rt TRAILER 11 0 0 STATE TRAILER STATE ROM To PLATE# PLATE# TRLR TRLR. 3 1 7 33 12 O O VIN#' vIN# FROM TO VEH.YEAR 2018 MAKE JEEP MODEL RENEG STYLE VT VEHICLE TOWED[n TO ZBLIN TOWED BY GOVT VEHICLE 3 7 34 13 DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14❑ LIABILITY INSURANCE NSURANCECO USAA CASUALTY 01223 67 62C IN EFFECT &POLICY# 4TOP _ VEHICLE CHARGE 5 36 15 srIALLY YES[:]❑NO❑ CITATION# IMPROPER LANE USAGE o oorrofi MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2064093262 16� LAST NAME CHEA FIRST NAME KEA-AN MIDDLE P INITIAL STREET ❑ 17 ❑ 9264 52ND AVE S CITY SEATTLE ST, WA ZIP 98118 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPC7RTE0' ❑ 38 INTERLOCK YEs NO INTERLOOKYEs NO YES NO 19 DRIVERS STATE WA SEX M D.O.B. 01 01 1959 � 39 '..LICENSE# MMD6YY' — HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21 LICEN E LATEIC47233S rare WA vIN# 5TBBT4813YS057573 41 22❑ PLATE# STATE[TILER I PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 2000 MAKE TOYT MODEL TUNDRA STYLE pl( VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO NO REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NQ.2 SHADFY DAGEAREA LIABILITY INSURANCE INSURANCECO ALLSTATE 817 966 460 IN EFFECT &POLICY# 9TOP L'EIL ❑ CO CITATION# CHARGE t080TTOM VEHICLE YES NCO s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 SITIVENI TAMAIVENA 12812 WA0171300 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG55427 COLLISION REPORT III III III III III 111 1591972 CASE# 25-80067 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE 0,SS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I USE CLASS NARRATIVE Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. SITIVENI TAMAIVENA 11-23-25 05:41 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE S.WOODWARD 11528 121512025 5:40:56 AM BADGE OR ID# 12812 ORI# WA0171300 TIME POLICE DISPATCHED 1 2:34 PM TIME POLICE ARRIVED i 2:37 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG55427 CASE# 25-80067 O OF COLLI 510N TIME 11/22/25 14:18 COLLISION NARRATIVE During this incident, I was equipped with a body-worn camera. It is important to note that the camera may have captured things I did not perceive, and I may have perceived things not captured by the camera. This report is intended as a summary of events to the best of my recollection and perception of what occurred. I have paraphrased conversation(s) and may not include an exact sequencing of events. Any inaccuracies, omissions, or mistakes are inadvertent. 25-80067 On 11-22-2025, at 1418 hours, I was dispatched to a blocking accident located at S 2nd St and Lake Ave S, within the City of Renton, King County, State of Washington. The Driver of Unit 2 is CHEA, KEA-AN PHATT (DOB 01-01-1959). KEA-AN was the driver/registered of a 2000 Toyota Tundra bearing plate WA/C47233S. KEA-AN had a passenger who did not want to be identified. The Driver of Unit 1 is OSTERAA, TORI KRISTIN (DOB 08-07-1993). TORI was the driver/registered of a 2018 Jeep Renegade bearing plate WA/CJS1980. TORT was the only occupant of the Jeep. There was no witness. KEA-AN stated he was in lane 1 going westbound on S 2nd St. While going straight ahead, he stated that TORI was in lane two trying to make a left turn into the Safeway property. He stated that sudden left turn caused him to collide with her Jeep. TORT stated she was on S 2nd St going westbound in lane 2. She said that she had her signal on to merge into lane 1 so she could make a left turn into the Safeway parking lot. This is when TORI struck the Toyota. She stated that the Toyota did not stop during the collision but continued to move forward, extending the damage from the front to the rear of the passenger side. There were no claims of injuries for this incident. Damages: TORI had minor damage to the front bumper of her Jeep. TORI Jeep was still drivable. KEA-AN sustained minor damage from the front passenger side to the rear of the Toyota. The Toyota was still drivable. I believe the approximate cause of this collision was TORI. TORT did not safely change lanes. TORI was cited for (RCW 46.61.140) (1) A vehicle shall be driven as nearly as practicable entirely within a single lane and shall not be moved from such lane until the driver has first ascertained that such movement can be made with safety. (2) Upon a roadway which is divided into three lanes and provides for two-way movement of traffic, a vehicle shall not be driven in the center lane except when overtaking and passing another vehicle traveling in the same direction when such center lane is clear of traffic within a safe distance, or in preparation for making a left turn or where such center lane is at the time allocated exclusively to traffic moving in the same direction that the vehicle is proceeding and such allocation is designated by official traffic-control devices. I advised TORI that she will be receiving a citation through email, which she understood. My Axon camera was on for this call. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. This report was electronically signed by Officer Si. Tamaivena #12812, November 22, 2025, at 1657 Renton, WA. PAGE 3 OF 4 REPORT NO. EG55427 CASE# 25-80067 DATE AND TIME 11/22/2514:18 OF COLLISION �•:v hf � i.: r i r f °a RY f � 9 1 � t>, � f xh f i q 1 c5 fi 3 +t4„ f14 PAGE 4 OF 4